Catheter ya Urethral: zizindikiro za kayendetsedwe ka ntchito

Catheter imatchedwa chubu yapadera yothandizira kutulutsa thupi kapena kuyika zida kudzera panthawiyi. Zomwe zatchulidwira zimatchedwa "catheterization". Catheter yokha imawoneka ngati thumba lopanda phula.

Choncho catheter yothandizira imathandiza kukwaniritsa chikhomo cha chikhodzodzo popanda kuphwanya makoma ake, chifukwa chochotsa mkodzo. Njirayi imagwiritsidwa ntchito pokhapokha pofuna kuganizira zachipatala. Kuponderezedwa kumathandiza kuchotsa madzi okwanira kuchokera m'chikhodzodzo ndipo, ngati kuli kotheka, kupatsirana mankhwala m'kati mwake.

Cholinga cha ndondomeko

Catheters ya urethral amagwiritsidwa ntchito ndi madokotala m'milandu yotsatirayi:

1. Kusungidwa kwa mitsempha - gawo lovuta kapena lovuta, lomwe limayambitsa matendawa, kutsekula kwa ngalande, kusungidwa kwa urethra, kugwirizanitsidwa ndi kuvulala kumbuyo.
2. Mu njira yotupa ya ngalande yamakono pofuna kusamba.
3. Ngati ndi kotheka, kuyezetsa mkodzo wamadzi.

Mitundu ya zipangizo za catheter

Mitundu ya zamankhwala ya catheters imasankhidwa ndi chiwerengero cha malo ogulitsira, ndi kukula kwake ndi mawonekedwe ake, mbali ya chikhalidwe ndi mfundo yokonzekera.

Zipangizo zothandizira kuchotsa madzi amadzimadzi zimapangidwa kuchokera:

• Zida zotsekemera: silicone, mphira (catheters zofewa);
• Zida zolimba - pulasitiki kapena zitsulo.

Komanso tisiyanitsani pakati pa catheters kuti musagwiritsire ntchito ntchito. Mitundu ya catheters yochiritsira mankhwala imatsimikiziridwa ndi urologist, ndipo namwino amatha kukhazikitsa chipangizocho.

Nthaŵi zambiri, kusungidwa kwa mkodzo kumachotsedwa ndi catheter yofewa, yomwe imawoneka ngati zotupa zotupa zokhala ndi mamita 10 mm. Mapeto amodzi a chubu ndi ozungulira, ndipo yachiwiri - amapangidwa ndi mawonekedwe ofanana ndi mapiri. Izi zimapangitsa kuti zikhale zosavuta kuika syringe yodzazidwa ndi mankhwala. Pakagwiritsidwa ntchito, chipangizocho chimayiritsidwa m'madzi otentha, kenako zouma. Catheter yokonzedweratu imasungidwa mabokosi apadera odzaza ndi carbolic solution kapena boric acid.

Nthawi zina, kukonzanso mkodzo kumachotsedwa ndi zipangizo zolimba.

Ndondomeko ya "kugonana kofooka"

Kuvutitsidwa kwa odwala azimayi sikumakhala kovuta kwambiri. Catheter yachikazi yonyansa ingakhale yofewa komanso yovuta. Amayambira mu chithandizo choyambitsanso chithandizo choyambitsa matenda. Madontho oyambirira a mkodzo amasonyeza kuyambika kwa mkodzo.

Ndondomeko ya "kugonana kolimba"

Makhalidwe aumunthu aumunthu amakhala ovuta kwambiri. Ndipotu, kutalika kwa chiberekero chachimuna ndi pafupifupi masentimita 15 kuposa zazikazi. Pewani kumangokhala kosavuta komanso kugwiritsira ntchito ziwalo zochepa za thupi, choncho kathetti yamphongo yodetsa nkhaŵa imakhala yochepa kwambiri.

Dokotala amasiya kusankha pazinthu za chipangizocho, kutsogozedwa ndi chikhalidwe cha wodwalayo. Choncho amuna omwe ali ndi prostate adenoma amalembedwa ndi catheter. Amayambitsidwa ndi dokotala yekha, popeza kugwiritsidwa ntchito kovuta ndi kovuta ndipo kumafuna luso lapadera ndi luso. Kathetta yachitsulo yosakanizidwa yosalowera bwino ingayambitse mavuto ambiri mwa wodwalayo.

Zingakhale zovuta pambuyo pa ndondomekoyi

Kusokoneza kulikonse kwachipatala pogwiritsira ntchito zipangizo zamakono kungawononge mavuto ena, osati kutaya ndi kusakaniza. Zifukwa za mavutowa zikuphatikizapo:

• Osasunga malamulo a aseptic;
• Kugwiritsa ntchito mphamvu zopanda chilungamo poyambitsa chipangizochi.

Mavuto omwe amabwera chifukwa cha kuphwanya malamulo oyambitsa chipangizochi amasonyezedwa mu mawonetseredwe a matenda a cystitis, urethritis ndi pyelonephritis. Ndi kumveka kosavuta kwa catheter, pangakhale ziwonetsero za kuphwanya kukhulupirika kwa ngalande ya mkodzo ndi kutha kwa chikhodzodzo. Kugwiritsiridwa ntchito kwa mitundu yofewa yothandizira, kangapo kuchepetsa kuchitika kwa mavuto.

ZOFUNIKA KWAMBIRI! Catheter yosagwira ntchito siigwiritsidwe ntchito pamaso pa matenda a urinary system.

Ndondomeko yotulutsira catheter

Ngati chipangizocho chikuperekedwa pambuyo pa opaleshoni, icho chikhoza kuchotsedwa pokhapokha atalangizidwa ndi dokotala. Kotero mtundu wa catheter yowopsa ndi yowopsa yowonongeka imachotsedwa ndi dokotala yekha, zochita zake zodziimira zidzabweretsa mavuto ena.

Pambuyo pokalandira uphungu wa dokotala yemwe akupezekapo, chipangizo chodzidalira wodwalayo chikhoza kuchotsedwa mosasunthika ndikuchotsedwa ndi zina zatsopano, ndikofunikira kumangotsatira malamulo a antiseptic ndikuletsa thanzi lanu. Catheters yosungunuka amagwiritsidwa ntchito, amasungunulidwa mosalekeza ndipo amasungidwa mpaka ntchito yotsatira.

Pambuyo pa njirayi

Monga lamulo, atagwiritsira ntchito chipangizo chamakono nthawi yaitali, njira yotupa ya ngalande yamakono imapezeka. Kotero thupi limayankha pamaso pa thupi lachilendo mmenemo. Madokotala amapereka malangizo atatha kusamba madzi osambira ndi njira yothetsera potassium permanganate. Kuchotsedwa kotsekedwa bwino kwa infusions wa chamomile, wise and St. John's wort. Malo okwiyitsa akhoza kupaka mafuta ndi kirimu. Ndi cholinga choteteza nthawiyi, tikuyenera kuvala zovala zazikulu zomwe zimapangidwa kuchokera ku zinyama. Ndikofunika kusiya zinthu zakuthupi panthawi yochepa, popeza kuvala zovala zoterezi kungowonjezera vutoli komanso kumapangitsa kutupa kwambiri.

Ngati pali kutentha kwakukulu, muyenera kufunsa dokotala mwamsanga, izi zikuwonetsa chitukuko cha kutupa matenda opatsirana.

Musakhale oposera komanso ndondomeko ya madzi osamba, koma kuyambira kusamba ayenera kutayidwa.

Tsatirani mosamala mtundu wa mkodzo, poyamba ungakhale ndi mtundu wa pinki, koma ndi wabwinobwino. Ngati mtundu ukufiira, muyenera kumudziwitsa dokotala.

Kaŵirikaŵiri pangakhale kukwiya pafupi ndi malo pomwe kathete yanyumba imayima. Valani zovala zamkati za thonje, chifukwa zimalola kuti mpweya ulowe m'malo owonongeka, ndipo udzachiza mofulumira.

Zotsutsana za kukhazikitsa catheter yosamalidwa

Ndondomeko yotsitsimula imatsutsana ndi anthu omwe akuvutika:

• Matenda opatsirana;
• Mafupa a minofu sphincter;
• Maonekedwe a anuria.

Ndipo kodi inu mumadziwa kuti ...

1. Catheter yamphongo yamakono ili ndi pafupifupi 30 masentimita, ndipo catheter yaikazi ndi pafupifupi masentimita 15.
2. Chodziwika kwambiri komanso chomwe chimagwiritsidwa ntchito kwambiri mu urology ndi catheter ya Foley.
3. Zida zotalika kwambiri zimagwiritsidwa ntchito pofikira mitsempha yapakati.
4. Catheter iliyonse imakhala yokhazikika yodalirika. Kawirikawiri, chigamba chimagwiritsidwa ntchito pa izi.
5. Njira yabwino komanso yotetezeka kwambiri, m'nthawi yathu ino, ndiyo njira ya Malecot ndi Petzer.
6. Palinso makonzedwe a mtima. Izi ndi zofewa zofewa, zomwe zimakhala ndi zotupa zokhala ndi makatoni pamwamba. Dzina lawo ndi Swan-Ganz catheter. Amagwiritsidwa ntchito kufufuza mitsempha yamtima ya pulmonary.